Lesson no. 5 Nasal Therapy. (السعوط) (Taking medicines through nose):

INTRODUCTION

Medication or line of treatment through nasal cavities is called as Nasal therapy.
There are many Hadees in which it is advised to put medicine in nose; it is among the best therapy or treatments. (It is called as Sa-ut (السعوط) in Hadees).
It is called as Nasal therapy in modern science & Nasya in Ayurveda. There is a lot of research going on Nasal therapy.

Nabi ﷺ’s guidance about Nasal therapy:-

Taking medicine through nose: -

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1. Narrated by Ibn Abbas رضي الله عنهما that Nabi ﷺ snuffed medicine through nose (Sa-ut).
[Abu Dawud: 3867; Book. 29; English Book. 28; Hadees. 3858]


4 (Four) best treatments: -
2. Hazrat Ibn Abbas رضي الله عنهما says that Rasoolullah ﷺ said that "Amongst the treatment you do:
a) The best is to put medicine (دواء) in nose (السعوط),
b) To put medicine (دواء) in one side of mouth (اللدود),
c) Hijamah (الحجامة) (Cupping)
d) Walking (المشى) (Laxatives).
[Tirmizi: 2184; Book. 28, English vol. 4; Book. 2, Hadees. 2047]
(المشى) Walking here is considered as movement of intestine by Imam Qayyim (ra) & senna is best to use as a laxative; please refer lesson no. 25 in part-1. Also there are more Hadees in which it is advised to put medicine in nose.

Sneezing: -

It is Sunnah to cover the nose & mouth while sneezing & to lower the sound of sneezing as possible: -
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4. Narrated by Abu Hurairah رضي الله عنه that Nabi ﷺ when sneezed, He ﷺ placed His Hand or a garment on His Mouth & lessened the noise. The transmitter Yahya is doubtful about exact words khafada or ghadda (lessened).
[Abu Dawud: 5029; Book no. 43; English Book. 42; Hadees. 5011]

Rules of (while) sneezing: -

5. When Sneezing: الْحَمْدُ لِلّٰہِ All praise is to Allah.
The listener’s reply: يَرْحَمُكَ اللّٰہ May Allah have mercy on you.
The sneezer’s response: يَهْدِيكُمُ اللّهُ May Allah guide you.
[Abu Dawud, Vol: 2, Page: 338]

Doing ablution (wazoo) & cleaning the nose after wakening: -

6. Narrated by Abu Hurairah رضي الله عنه that Nabi ﷺ said: "If anyone of you arouses from sleep & performs ablution (wazoo), he should wash his nose by putting water in it & then blowing it out thrice, because devil (Shaitaan) has stayed in the upper part of his nose all the night".
[Bukhari: 3295; Book. 59; English vol. 4; Book. 54; Hadees. 516]

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The details given below are according to Ulama & Islamic Scholars & not from Hadees.

Buzzing or Humming in the ears: -

When there is buzzing or humming in the ears, one should think of Rasoolullah  & recite the Durood & recite the following Dua: -

ذَكَرَ اللهُ بِخَيْرٍ مَنْ ذَكَرَنِي

[Hisnul Hasin (English by Muhammed Rafiq)]

For pain in ears: -

كَأَنْ لَمْ يَسْمَعْهَا كَأَنَّ فِي أُذُنَيْهِ وَقْرًا ۖ فَبَشِّرْهُ بِعَذَابٍ أَلِيمٍ

Recite the above Chapter 31 (Surah) Luqmaan verse no 7 for 7 times & blow on painful ear.
[Cure of our worries from Holy Quran, by Maulana Muhammad Shafique page. 75]

For deafness: -

وَإِذَا قُرِئَ الْقُرْآنُ فَاسْتَمِعُوا لَهُ وَأَنْصِتُوا لَعَلَّكُمْ تُرْحَمُونَ

Recite the above Chapter 7 (Surah) Aa’Raaf verse no. 204 for 7 times & blow on the patient.
[Cures from the Quran a pocket Book by Muhammad Elahi page. 80]

For tooth ache: -

قُلْ هُوَ الَّذِي أَنْشَأَكُمْ وَجَعَلَ لَكُمُ السَّمْعَ وَالْأَبْصَارَ وَالْأَفْئِدَةَ ۖ قَلِيلًا مَا تَشْكُرُون

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Recite the above Chapter 67 (Surah) Mulk verse no. 23 for 7 times placing a finger on the painful tooth or grind & press the tooth little.
[Cure of our worries from Holy Quran, by Maulana Muhammad Shafique page. 74]

وَلَهُ مَا سَكَنَ فِي اللَّيْلِ وَالنَّهَارِ ۚ وَهُوَ السَّمِيعُ الْعَلِيم

Recite full Chapter 1 (Surah) Faateha then recite the above Chapter 6 (Surah) An’am verse no. 13 for 7 times & blow on the right hand & rub gently on the affected area.
[Cures from the Quran a pocket Book by Muhammad Elahi page. 82]

Science & Hadees regarding Nasal therapy:-

Nasal administration (administration through the nose) may allow certain drugs & other molecules to bypass the blood–brain barrier via diffusion through the olfactory epithelium & the perineural sheath or via retrograde axonal transport along olfactory & trigeminal nerves. This latter process probably implies endocytosis of the molecules. Using this route to the brain allows high concentrations of products in the olfactory bulb shortly after exposition & by diffusion to the entire brain. Therefore using this pathway allows a better bioavailability, assuming that the molecule has the right physic-chemical characteristics to get through the nose & the epithelial defenses.
The nasal cavity is covered by a thin mucosa which is well vascularised (has many blood vessels). Therefore, a drug molecule can be transferred quickly across the single epithelial cell layer directly to the systemic blood circulation without first-pass hepatic & intestinal metabolism. The effect is often reached within 5 minute for smaller drug molecules. Nasal administration can therefore be used as an alternative to oral administration, for example tablets & capsules if a fast effect is desired or if the drug is extensively degraded in the gut or liver. Drugs which have poor absorption can be given by this route.

Question & Answer regarding uses of inhalers in Ramzaan / Fasting: -

Answers given by General Supervisor: Shaikh Muhammad Saalih Al-Munajjid & Shaikh Muhammad Ibn Saalih Al-‘Uthaymeen.
Question: Is it permissible to use a nasal spray that contains a percentage of alcohol? Does it break the fast for one who is fasting? I have an allergy to dust that causes me to sneeze continually (as much as 60 sneezes in succession). The doctor has prescribed for me medicine in a spray that contains 0.25% of alcohol. I only use this medicine in urgent cases, but I do not know whether it is permissible for me to use this medicine or not. & what is the ruling on using it in Ramzaan in particular?
Answer: We inform you that there is nothing wrong with using this medicine that contains that percentage of alcohol, which is very low & is dissolved in the medicine & there is no apparent trace of it, so it does not come under the ruling prohibiting alcohol. We have quoted the fatwas of the scholars concerning that. Using sprays for allergies does not invalidate the fast according to the correct opinion, whether they are administered through the nose or through the mouth, as they are in the form of vapour & do not contain any solid matter that enters the stomach.
Question: I have an allergy that affects my nose & I use a nasal spray to treat it. If I do not use it, it causes me great difficulty in breathing & I cannot do without the medicine for more than three hours. If I do not use it, it will make breathing very difficult. The problem is that the month of Ramzaan is coming & I use this medicine & am afraid it will affect my fast, but if I stop using it I cannot cope. Please note that on some days in Ramzaan, I did use it but I am very careful to prevent it from reaching my throat. What is the ruling on that? & what is the ruling on using it?
Answer: The spray that you are using is like a kind of gas because it is dispersed in the air & does not reach the stomach. As that is the case, we say that there is nothing wrong with using this spray when you are fasting & you are not breaking the fast by doing that because – as we have said – no part of it reaches the stomach because it is something that is dispersed in the air & disappears & no particle of it reaches the stomach such that we could say that it is something that breaks the fast. So it is permissible for you to use it when you are fasting.
[Fataawa Noor ‘ala al-Darb, tape. 44]

How to Use Nose Drops or medication properly according to medical:-

Having someone else give you the nose drops may make this procedure easier.

1. Blow your nose gently.

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2. Wash your hands thoroughly with soap & water.

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3. Check the dropper tip to make sure that it is not chipped or cracked.

4. Avoid touching the dropper tip against your clean nose.

5. Tilt your head as far back as possible, or lie down on your back on a flat surface (such as a bed) & hang your head over the edge.

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6. Place the correct number of drops into your nose.

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7. Bend your head forward toward your knees & gently move it left & right.

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8. Remain in this position for a few minutes.

9. Clean the dropper tip with warm water. Cap the bottle right away.

10. Wash your hands to remove any medication.

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Saline Nasal Spray: -

Allergies cause nasal obstruction & inflammation. When the normal clearance of mucus from the nasal passage toward the throat becomes obstructed, it leads to retention of mucus within the sinus cavities. Saline nasal sprays may help liquefy these secretions & decrease the risk of crusting in the sinus cavities, according to the American Academy of Allergy Asthma & Immunology. Some studies support the use of saline solution (salt water) to restore moisture to dry nasal passages & sinuses & to lessen the inflammation of mucous membranes. Findings show that if saline irrigation is used regularly, it can help to thin mucus, decrease postnasal drip & cleanse your nasal passages of bacteria. The two main ways to use saline irrigation are with a Neti pot or small squirt bottle. Saline sprays also help keep the cilia in your nose healthy. Cilia are small hair-like structures in your nose that help humidify air to your lungs, trap bacteria to prevent them from entering the cells & aid your sense of smell. By keeping cilia healthy, studies show that saline sprays may help treat rhinitis & sinusitis.